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Nursing Homes and Personal Care Facilities
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for updates on this page to provide users with new and expanded information on
Nursing and Personal Care Facilities.
Nursing and Personal Care Facilities have one of the highest rates of injury and illness among industries for which nationwide lost workday injury and illness (LWDII) rates were calculated for Calendar Year 2000. According to the Bureau of Labor Statistics in 2000 (Pg 13), nursing and personal care facilities (employers within SIC codes 8051, 8052, and 8059) experienced an average LWDII rate of 7.9, despite the availability of feasible controls which have been identified to address hazards within this industry. This is more than double the LWDII rate of 3.0 for private industry as a whole.
Related Technical Links:
OSHA's
Nursing Home eCAT. Offers a graphical menu to identify hazards
and controls in the Nursing Home Industry.- Worker Safety & Health in the Nursing Home Industry. OSHA Fact Sheet.
- Preventing Injury/Saving Money in Nursing Homes. Four success stories demonstrating benefits of reducing hazards.
- Anatomy of a Nursing Home with Potential Hazards. Diagram showing a typical floorplan with potential hazards identified.
- A Back Injury Prevention Guide for Health Care Providers. Cal OSHA PDF 4.72MB, 76 pages. This booklet provides general guidelines designed to help prevent staff injury from lifting or moving patients.
- Framework for a Comprehensive Health and Safety Program in Nursing Homes. OSHA Office of Training and Education (1996). Provides information on developing or evaluating a health and safety program in a nursing home setting. NOTE: This documnet is currently being updated to reflect OSHA Policy.
- Protecting Nursing Home Workers: OSHA's Safety and Health Program Approach. A slide presentation used in OSHA's nursing home outreach seminars. It includes a PowerPoint presentation (83 slides) and handouts (PDF file).
- Progressing Toward Tuberculosis Elimination in Low-Incidence Areas of the United States. MMWR, Recommendations and Reports (2002, May 3) /51(RR05);1-16, 16 pages.
- Controlling
Occupational Exposure to Hazardous Drugs. OSHA Technical Manual (TED
1-0.15A), Section VI - Chapter 3 (1999, January 20), 40 pages. - Some
Common Drugs Considered Hazardous.
Appendix VI:3-1 - Some
Aerosolized Drugs.
Appendix VI:3-2 - Prevention and Control of Tuberculosis in Facilities Providing Long-Term Care to the Elderly, Recommendations of the Advisory Committee for Elimination of Tuberculosis. MMWR 9(RR-10);7-20 (1990, July 13).
- "Nursing Homes: Hazards and Solutions." OSHA (1998, March 9), 15:51 minutes. A video that discusses various hazards in nursing homes, specifically focusing on resident transfer hazards and controls to minimize these hazards. The video also gives valuable information and tips from two experienced CSHOs on inspecting this industry. Requests for copies for use by non-OSHA sources are available from the Public Affairs Office. NOTE: This video presentation is currently being updated to reflect OSHA Policy.
- Access To Employee Exposure and Medical Records. OSHA Fact Sheet 93-29 (1993, January 1). Employers must provide records access to all employees exposed to toxic substances and harmful physical agents, their employee representatives, health professionals, and OSHA.
OSHA Directives
- CPL 2.106, (1996, February 9). Enforcement Procedures and Scheduling for Occupational Exposure to Tuberculosis.
- CPL 2.111, (1995, November 27). OSHA policy regarding issuance of citations for violations of "paperwork" and "written program" requirements, in areas such as bloodborne pathogens, respiratory protection and others.
Review Commission and Administrative Law Judge Decisions
- CPL 2-2.69, Enforcement Procedures for the Occupational Exposure to Bloodborne Pathogens Standard, 29 CFR 1910.1030. Includes revisions mandated by the Needlestick Safety and Prevention Act (2001, November 27).
The Occupational Safety and Health Review Commission (OSHRC) is an independent Federal agency created to decide contests of citations or penalties resulting from OSHA inspections of American work places. To locate decisions related to this topic, search for keywords at the OSHRC site.
Standard Interpretations and Compliance Letters
During October 2000 through September 2001 OSHA performed 695 inspection activities in SIC code 805- Nursing and Personal Care Facilities. The most frequently sited violations were bloodborne pathogens, electrical systems, electrical wiring, hazard communication, and lock out tag out.
- 805 - Nursing and Personal Care Facilities
- 8051 - Skilled Nursing Care Facilities (SIC description for 8051)
- 8052 - Intermediate Care Facilities (SIC description for 8052)
- 8059 - Nursing and Personal Care Facilities, Not Elsewhere Classified (SIC description for 8059)
Search for the most frequently cited Federal and State OSHA standards for this industry by SIC code and jurisdiction (Federal or by individual States):
- Back Facts: An OSHA training workbook to prevent back injuries
in nursing homes:
- Table of Contents & Introduction, PDF File 199KB
- Activity 1, PDF File 551KB
- Activity 2, PDF File 921KB
- Activity 3, PDF File 697KB
- Activity 4, PDF File 1.3MB
- Activity 5, PDF File 778KB
- Activity 6, PDF File 895KB
- Activity 7, PDF File 835KB
- Appendix a-f & footnotes, PDF File 700KB
Revision Date: 11 June 2002
